Shaker Pediatrics PC
NPI 1336156223 · Pediatric Adolescent Medicine Physician · Latham, NY
Shaker Pediatrics PC is a Pediatric Adolescent Medicine Physician organization in Latham, NY (NPI 1336156223).
Provider details
- NPI number
- 1336156223
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Neilley, First Vice President(518) 783-5563
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Shaker Pediatrics PC's NPI number?
- Shaker Pediatrics PC's National Provider Identifier (NPI) is 1336156223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shaker Pediatrics PC?
- Shaker Pediatrics PC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shaker Pediatrics PC located?
- Shaker Pediatrics PC's practice location on file with NPPES is 10 Century Hill Drive, Latham, NY 12110.
- What is Shaker Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for Shaker Pediatrics PC is (518) 783-5563.
- Who is the authorized official for Shaker Pediatrics PC?
- The authorized official listed on Shaker Pediatrics PC's NPPES record is Henry Neilley, First Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shaker Pediatrics PC's NPI active?
- Yes — Shaker Pediatrics PC's NPI (1336156223) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.